CHOICE
Changing Healthy Outcomes In Clinical Environments
Most Americans know that they should exercise regularly and eat plenty of fruits and vegetables, but most don't do either. Eating habits in the U.S. have worsened; only 1 in 5 Americans exercises regularly; and the percentage of overweight adults is approaching 70%. Obesity related medical costs exceed $100 billion. The extra weight Americans carry around increase their risk of high blood pressure, high cholesterol, type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and certain cancers.
Unfortunately, strategies to reverse the obesity epidemic have been discouraging. The purpose of the CHOICE (Changing Healthy Outcomes In Clinical Environments) study is to evaluate innovative strategies to improve the health habits of overweight, sedentary adults. The CHOICE study utilizes the unique role health care providers play in helping their patients lead healthy lives. The study compares the effectiveness of three strategies for health behavior change: 1.) physician advice; 2.) one-on-one counseling (using motivational interviewing); and 3.) group-based education aimed at enhancing exercise and nutrition habits. The research involves 80 participants and is funded by the National Center for Research Resources (NCRR).



